Festival Drugs Flashcards
Synthetic cannabinoids
Cannabis + synthetic additives
Many active chemicals
MDMA effects
Exertional Hyperpyrexia
Rhabdomyolysis
Serotonin syndrome
HypoNa+ -> cerebral oedema
Isolated acute liver failure
CVA
Acute anxiety and panic disorder
Causes of exertional Hyperpyrexia with MDMA
Prolonged exertion
Hot environment
Amohetamine like effects - promotion of repetitive movements, dysregulation of body signals
Serotonin effects
How does MDMA cause hyponatraemia
Increased water intake due to compulsion or impaired judgement
Excess ADH production
MDMA OD tx
Diazepam - anxiety, agitation, seizures
Fluid restrict, hypertonic saline - hyponatraemia
Sodium bicarbonate - met acidosis
Labetalol - hypertension
Fluids - hypotension
Cooling, dantrolene - hyperthermia
Supportive - organ failure
Why can MDMA cause stridor and feeling of obstruction
Swollen uvula after sleeping on back
What drugs should be suspected in a pt with normal vitals and muscle contraction
MDMA and/or ketamine
Give benzos